Endocrinology Section, McGuire Veterans Affairs Medical Center, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Osteoporos Int. 2011 Aug;22 Suppl 3:495-500. doi: 10.1007/s00198-011-1708-9. Epub 2011 Aug 17.
Participants in the conference selected to attend two different working group sessions. The working groups discussed different perspectives of system-based approaches to osteoporosis and fracture care. The group on postfracture case management recommended that nurse case managers be used to improve communication among patients, orthopaedic surgeons, and those providing ongoing clinical care. The hospital working group discussed the impact of and barriers to improved postfracture management in the hospital setting. The health systems group emphasized the difference between a closed system in which long-term benefits of interventions were more likely to be appreciated than in fee for service systems. The health information technology group discussed the advantages and challenges of electronic health records. The working group on consumer and provider education discussed interventions for both primary and secondary prevention of fractures. Recommendations were produced by most groups for improving postfracture care.
参会者被选去参加两个不同的工作组会议。工作组讨论了以系统为基础的骨质疏松症和骨折护理方法的不同视角。骨折后病例管理小组建议使用护士病例管理员来改善患者、骨科医生和提供持续临床护理的人员之间的沟通。医院工作组讨论了改善医院环境下骨折后管理的影响和障碍。卫生系统小组强调了干预措施的长期效益更有可能被重视的封闭系统与按服务收费系统之间的区别。卫生信息技术小组讨论了电子健康记录的优势和挑战。消费者和提供者教育工作组讨论了骨折的一级和二级预防干预措施。大多数小组都提出了改善骨折后护理的建议。
